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Name, Institution, Department

Application Form for Participants

Teaching Future High School and Middle School Teachers
SUNY Potsdam, Potsdam, NY
June 9-20, 2002 and June 8-19, 2003
Organized by: Ed Dubinsky

First Name __________ Middle Initial ______

Last Name________

Position: ___ Faculty at Two-YearCollege __X_Faculty at Four-Year College/University

___ Other _________________________(please specify)

Institution: _________

Department: __

Address: _

City: State/Province: PA_ Zip

Country __USA

Phone Numbers: Office: _



E-mail address:

Highest Degree

Experience and Prospects (Create space as needed for answers.)

1. Have you taught course(s) specifically for prospective teachers before? Yes_X_ No___

If yes, how many times? Elementary_ Middle ____ Secondary ___

Which courses?

2. To what extent have the populations of math courses you have taught included future High School and/or Middle School teachers?

3. What do you expect for your teaching assignments next academic year?

4. Have you ever taught K-12 students? If so, when and what did you teach? No.

5. Have you worked in K-12 classrooms? If so, what did you do, and when was this? No.

6. What do you like best about teaching?

7. What would you say is your greatest strength as a teacher?

8. With what about your current approach to teaching are you presently least satisfied?

I am not at all satisfied that the traditional lecture-homework-test format with which I am most comfortable is the best way to learn mathematics.

9. What do you find most challenging?

Generically speaking, the most challenging aspect of teaching mathematics is stimulating genuine interest on the part of the students.

10. What benefits do you anticipate from attending this workshop?

11. What indications can you give of support from your institution? This might include such things as travel to the workshop, time to work on your intervening year project, etc.

Deadline for applications is February 8, 2002. Notification on selection of participants will be made by March 4, 2002. Selection of participants will be based on a judgement of the maximum benefit to the preparation of future teachers.

A fee of $750 for room, board and tuition for the two summers is payable after notification of acceptance.

For questions about the content of the program, contact the director at

To apply, fax or mail completed application form to:

Brie Danner
PREP 2002: Teaching Future High School and Middle School Teachers
Mathematical Association of America
1529 Eighteenth Street NW
Washington, DC 20036
Telephone: 202 319 8496
Fax: 202 483 5450

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